I've spent my entire career trying to help people avoid suicide BUT Also believe people with terminal suffering should be allowed to choose how & when they die. I see no contradiction in this because the situations & patient needs are so very different & should not be confused.

Making it harder to commit suicide is by far the best form of suicide prevention. Why? Most suicides are spur of the moment & most suicide survivors are glad to be still alive. Public policy should reduce access to lethal means (eg guns/poisons/train tracks). Thorough review:

When we published DSM-IV in 1994, I was sure it wouldnt contribute to further psych over-diagnosis/over-treatment with meds. I was way wrong- soon there were 3 fads (ADHD/Autism/Bipolar). Here I explain why & also advise clinicians best use of DSM to promote accurate diagnosis:

A scary problem for all of us: Chatbot Privacy Is An Oxymoron: Your Data Is Always At Risk https://t.co/XxunoiNQi2 What you can do about it: Practical Tips From A Chatbot Privacy Expert On How To Protect Yourself https://t.co/NTmSMeFawB

Psychotherapists are the luckiest people on earth. Many of the best hours of my life were spent doing therapy & many of my favorite people were patients. I couldn't be more grateful to them for teaching .me so much about life & making me a better person.

I am proud of my severe & enduring case of "Trump Derangement Syndrome" & hope it is ccontagious:

Chronic Depression must be differentiated from: 1)Personality Disorder 2)Med side effects 3)Alcohol/Substance use 4)Medical illness 5)Grief 6)Demoralization from life stressors Treatment is often some comination psychotherapy/meds/exercise/reduced stress/new relationships/a pet.

My letter today to The Guardian describes the 7 causes of massive mental disorder overdiagnosis & the consequent harms to our patients & to society. https://t.co/TF9EINnHFL

My 50 Best Tips For Psych Patients Topics: 1)Medications- indications/side effects/withdrawal 2)Psychotherapy 3)Managing symptoms 4)Suicide 5)Resilience 6)Working w clinicians 7)Negotiating systems 8)Reasonable goals 9)Adding good minutes each day 10)Hope

Kraepelin's great influence on psychiatry: Good:1)Clinical clarity 2)Emphasis on course 3)Scientific ambition Bad:1)Narrow descriptive/biomedical 2)Neglected psychosocial 3)Treatment nihilism 4)Naive realism Ugly:1)Eugenics 2)Nazi connections Must read: https://t.co/1V2m50q6Pd

What happens when every distress is mislabeled "mental disorder": 1)The term becomes meaningless psychobabble 2)Massive misallocation of scarce resources- the overtreatment of the worried well worsens cruel neglect of the severely ill 3)A "sick" society that loses its resilience

People often send me proposals for really dumb new psych diagnoses. Here's the latest: "RSD"= "Rejection Sensitive Disorder" Soon every human emotion will be mislabelled "mental disorder" & everyone will be sick. Why i strongly oppose APA's doing DSM-6.

I love this clinical wisdom from suicide expert @ursulawhiteside: 1)What goes thru mind of patients just before attempting suicide 2)What techniques can buy time 3)Longer term approaches 4)Why existing chatbots encourage suicide 5)How to make them safer https://t.co/1y5IzUEFuM

"Cognitive Disengagement Syndrome" may be the dumbest diagnostic proposal i've ever heard. & competition is really stiff- i've reviewed 100s of collosally stupid suggestions. I suggest a 50 yr moratorium on new DSMs/new ICDs/new diagnoses- always cause much more harm than good.

BBC survey UK GPs finds great concern re: 1)overdiagnosis of psych disorder 2)medicalization of normal distress/grief 3)lack of psych care for those in real need Hopeful this new UK MD/Govt/Media push succeeds where my 40 yr "save normal" warnings failed: https://t.co/eajoYiM1Wm

Great News UK govt will study explosive fad overdiagnosis of Autism & ADHD. This is what RFK Jr should be doing instead of anti-vaxxing. Main drivers of ovrrdiagnosis used to be loose DSM critrria/Big Pharma/careless MDs. Now its internet self-diagnosis. https://t.co/XF0cFKuxD3

Trump has been an "asshole" probably from birth. Why more absurd behavior recently? 1)Cognitive decline & disinhibition of old age 2)Absolute power corrupts absolutely 3)No adult supervision from aids 4)"Crazy-like-a-fox" distraction from his corruption & failures Great read:

After having been born in sin, ChatGPT just had its unhappy 3rd birthday OpenAI prematurely/deceptively released it to public with almost no safety testing. Great tech & $$$ success- but very badly flawed & dangerous tool. Here's the fascinating story: https://t.co/WawmcHAS29

Chatbot therapists are now so ubiquitous, every responsible clinician must learn how & why they can be so dangerous to vulnerable people/patients. @JustinAngel is smartest person I know at growing interface between AI & therapy. Here's what you need to know re chatbot safety:

Sadly, polypharmacy has become ubiquitous in psychiatry: 1)Rarely rational 2)Creates more symptoms than cures 3)Promoted by careless doctors/overdiagnosis/fake comorbidity 4)Often better to taper old drugs rather than add new ones 5)Especially in elderly https://t.co/WVnLN998Gm